| Does bilateral bispectral index monitoring (BIS) detect the discrepancy of cerebral reperfusion during carotid endarterectomy? | |
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MedLine Citation:
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PMID: 19833277 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The case of a 70 year-old man undergoing bilateral carotid endarterectomy (CEA), for whom alterations in his bispectral index (BIS) values were noted during general anesthesia, is presented. Prior to bypass of the internal carotid artery (ICA), there were no significant differences in bilateral BIS values. After bypass of the left ICA, the left BIS increased to approximately 60, while the right BIS remained at 40. Four months later, no such phenomenon was found during a right CEA. BIS is useful in detecting cerebral hypoperfusion during a lower limit of autoregulation. Attaching bilateral BIS monitors may indicate successful reperfusion of cerebral blood flow in CEA. |
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Authors:
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Mitsuharu Kodaka; Yuki Nishikawa; Toshinari Suzuki; Kazumi Asano; Akihiko Maeyama; Hideki Miyao |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of clinical anesthesia Volume: 21 ISSN: 1873-4529 ISO Abbreviation: J Clin Anesth Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-10-16 Completed Date: 2010-01-15 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8812166 Medline TA: J Clin Anesth Country: United States |
Other Details:
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Languages: eng Pagination: 431-4 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, Saitama Medical Center/University, Saitama 350-8550, Japan. kmkodaka@cb3.so-net.ne.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anesthesia, General / methods Brain Ischemia / diagnosis*, etiology Consciousness Monitors* Endarterectomy, Carotid / methods* Humans Male Monitoring, Intraoperative / methods |
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